MRS. KELLY JO ROLLAND (NPI# 1336749563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336749563 |
| Entity Type | Individual |
| Full Name | MRS. KELLY JO ROLLAND |
| Credential | LCSW |
| Practice Address |
2904 4th St Ste 102 Longview TX 75605-5124 |
| Mailing Address |
504 Cynthia Dr Longview TX 75605-3742 |
| Practice Telephone | 9038062738 |
| Mailing Telephone | 9038062738 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60856 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2904 4TH ST STE 102 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316570435 | Nicole Elizabeth Weakley | Social Worker | 1127 Judson Rd Ste 100, Longview, TX 75601-5167 | 2020-02-17 |
| 1184268575 | Cindy Bridey Plata | Social Worker | 1508 W Fairmont St Ste A, Longview, TX 75604-4500 | 2019-10-29 |
| 1831732619 | Natasha Amador | Social Worker | 703 Viewcrest Dr, Longview, TX 75604-4928 | 2019-10-23 |
| 1629551486 | Christy R. Collins, Lcsw Inc | Social Worker | 1011 W Loop 281 Ste 5, Longview, TX 75604-2932 | 2018-09-07 |
| 1336519875 | Levi Migneault | Social Worker | 1417 15th Ave Ste 7, Longview, WA 98632-3736 | 2015-09-27 |
| 1164810446 | Julia Jacobs | Social Worker | 1338 Commerce Ave, Longview, WA 98632 | 2015-01-08 |
| 1265842819 | Christina Collins | Social Worker | 1115 Jaycee Dr, Longview, TX 75604-5802 | 2014-05-05 |
| 1245665025 | David Lee Moeglein | Social Worker | True Counseling, Pllc, 1430 16th Ave, Longview, WA 98632 | 2013-09-11 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1861756033 | Christopher Daniel Forward | Social Worker | 600 Broadway St., Suite 120, Longview, WA 98632 | 2012-07-02 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.